Main Street Care

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 34 beds and averages 30.3 residents a day — about 89% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.06 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.78 hrs/resident/day on weekends vs 4.17 on weekdays — 9% thinner on weekends. RN hours go from 0.57 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Fcited before2026-01-08 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to employee a Registered Nurse for eight (8) hours per day, seven (7) days a week as required. Facility:Faciity. Facility Census: 28Findings include: a) Registered Nurse Staffing On 01/07/26 at 11:00 AM observation of the Daily Staffing Report for the time period of 12/23/25 through 01/05/26 (14 days) finds there was not a Registered Nurse (RN) on duty for eight (8) consecutive hours daily as required. The facility employees four (4) Registered Nurses. They are the Director of Nursing (DON) (#28), The Assistance Director of Nursing (ADON) (#35) and two (2) part time Registered Nurses, #18 and #19. According to a review of the Employee Period Total Report, RN #19 did not work at all during the above time period. RN #18 worked 7.3 hours over the fourteen (14) days in the time period. According to the Administrator on 01/07/26 at 12:10 PM the DON and ADON usually work Monday through Friday but she can not provide documentation or state for sure the DON and ADON performed resident care. Review of the time frame of 12/23/25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-08 · tag F0731 — widespread
  Request a waiver if it can't meet the nurse staffing requirements.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview the facility failed to ensure a new, current Registered Nurse waiver was completed. Resident Identifier: Facility:Facility. Facility Census: #28 Findings include: a) Registered Nurse Waiver On 01/07/26 at 11:00 AM observation of the Daily Staffing Report for the time period of 12/23/25 through 01/05/26 (14 days) finds there was not a Registered Nurse (RN) on duty for eight (8) consecutive hours daily as required. The facility employees four (4) Registered Nurses. They are the Director of Nursing (DON) (#28), The Assistance Director of Nursing (ADON) (#35) and two (2) part time Registered Nurses, #18 and #19. According to a review of the Employee Period Total Report, RN #19 did not work at all during the above time period. RN #18 worked 7.3 hours over the fourteen (14) days in the time period. According to the Administrator on 01/07/26 at 12:10 PM the DON and ADON usually work Monday through Friday but she can not provide documentation or state for sure the DON and ADON performed resident care. The facility may apply for and request a waiver…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-08 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview the facility failed to ensure the continuing competence of nurse aides to include no less than 12 hours per year which include dementia management training and resident abuse/neglect prevention training. Facility Census: 28.Findings include: a) Certified Nurse Aide Training On 01/07/26 at 1:10 PM review of Certified Nurse Aide (CNA) training documentation for the following staff members were missing required training documentation on Abuse/Neglect. Staff Members:Nure Aide: #4, #9, #11, #15, #33 On 01/07/26 at 1:32 PM during an interview with the Administrator and Director of Nursing they stated there is no training for abuse/neglect. They felt this was covered under the Ethics in Healthcare in Medline University. A review of the description for Ethics in Healthcare revealed the following:Ethics in healthcare are the backbone of patient centered care, guiding decisions that respect autinomy, justice and human deginity. A strong ethical foundation is privotal in navigating the moral complexities of clinical practice, ensuring every patient is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-08 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to ensure a new Preadmission Screening and Resident Review (PASRR) was completed when residents received a diagnosis of a newly evident psychiatric disorder. This deficient practice had the potential to affect three (3) of three (3) residents reviewed for the care area of PASRR. Resident identifiers: #24, #3, and #5. Facility census: 28. Findings included:a) Resident #24 Review of Resident #24's medical record showed a Preadmission Screening and Resident Review (PASRR) was completed on 03/22/22. No diagnoses of mental illnesses were documented on the PASRR. On 10/01/24, while a resident at the facility, Resident #24 received a diagnosis of major depressive disorder, recurrent, moderate. On 01/07/2026 at 11:20 AM, the Director of Nursing (DON) confirmed a new PASRR had not been completed when Resident #24 received the new diagnosis of major depressive disorder. No further information was provided through the completion of the survey process. Findings include: b) Resident #3 On 01/06/26 at 12:58 PM record review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-08 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interviews the facility failed to ensure resident hand hygiene was performed before meals in order to maintain an effective infection control program to prevent spread of disease and infections. Facility Census: #28 Findings Include: a) hand hygiene in rooms On 01/05/26 at 12:05 PM observation of the lunch meal tray pass found thygiene was not provided to residents on the [NAME] Hall specifically room [ROOM NUMBER] and #338. On 01/05/26 at 12:10 PM an interview with Certified Nurse Aide (CNA) #4 when asked if the residents were provided hand hygiene prior to the meal she stated, I usually give them a wipe or I give them a wet washcloth. When the surveyor stated they did not see them provide hand hygiene care, she stated, I didn't do it. On 01/05/26 at 12:25 PM observation In the dining room found hand hygiene was not performed. Residents had their meal and was eating their lunch at this time. Licensed Practical Nurse (LPN) #42 was ask if they provided hand hygiene to residents…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-08 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and staff interview, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was completed and accurate when residents were admitted with a diagnosis of an evident psychiatric disorder. This deficient practice had the potential to affect one (1) of three (3) residents reviewed for the care area of PASRR. Resident identifier: #5. Facility census: 28. Findings include: a) Resident #5 On 01/07/26 at 11:55 AM during a review of the PASSR for Resident #5 it was found this resident has a diagnosis of anxiety and visual hallucinations on the PASSR dated 10/17/23 which the Social Services Director #6 confirmed was the latest PASSR. Review of the current medical diagnosis for Resident #5 also reflected a diagnosis of Delusional disorders which was present on admission and receives Depakote and Seroquel for the diagnoses. The PASSR did not have this diagnosis listed. On 01/07/26 at 1:30 PM the above was confirmed with Director of Nursing and Administrator when they agreed the PASSR was incorrect.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-08 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and staff interview, the facility failed to maintain medication in accordance with accepted standards of practice. Multi-dose insulins had been in use longer than was recommended by the manufacturer. This was a random opportunity for discovery. Resident Identifiers: #6 and #3. Facility census: 28. Findings included: a) Medication Preparation Room - Insulins On 01/06/26 at 9:15 AM, the facility medication preparation room was inspected. A multiple-dose vial of Lantus insulin for Resident #6 was noted to have an opening date of 12/05/25. A multiple-dose prefilled pen of Lantus insulin for Resident #3 was noted to have an opening date of 12/05/25. Both opening dates were written on the medications in pen by the nurse who had first accessed the medication. The multiple-dose vial of Lantus insulin had a package insert which stated the following: - A multiple-dose vial of Lantus insulin can be used for 28 days refrigerated or at room temperature.- A multiple-dose prefilled pen of Lantus insulin can be used for 28 days at room temperature.Licensed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-14 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, and staff interview, the facility failed to maintain an appropriate infection control program for storage of personal hygiene products in a shared bathroom. This was a random opportunity for discovery. Facility Census: 30. Findings Included: a) Personal hygiene products On 01/14/25 at 11:05 AM, an observation was made of personal hygiene items sitting on the safety bar and on the floor of the shower. The personal items were two (2) cans of shaving cream, one (1) bottle of shampoo/conditioner/body wash, one (1) container of eczema soothing lotion, and one (1) stick. The personal hygiene items were not labeled. On 01/14/25 at 11:07 AM, Resident #12 was asked, Are these your personal items? Resident #12 stated, I think they are (Name of Resident #18). On 01/14/25 at 11:10 AM, Nurse Aide (NA) #10 was asked, do you know which resident these belong to? NA #10 said, I'm not sure .I will throw them away. On 01/14/25 at 1:00 PM, the Director of Nursing (DON) confirmed the items should be labeled.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-21 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and staff interview, the facility failed to have a Registered Nurse (RN) in the facility for at least eight (8) hours on weekends. This failed practice had the potential to affect all residents residing in the facility. Facility census: 31. a) RN weekend staffing During a record review on 08/21/24 it was revealed that the facility did not have an RN working on weekends in the facility. A review of the schedule revealed there was no RN working on 07/06/24, 07/07/24, 07/13/24, 07/14/24, 07/20/24, 07/21/24, 07/27/24, 07/28/24. In addition, there was no RN coverage on 08/03/24, 08/04/24 and 08/11/24. On 08/21/24 at 1:36 PM the Director of Nursing (DON) stated she and the Assistant Director of Nursing (ADON) were on call and can be at the facility with in seven (7) to fifteen minutes, however they did not work in the facility on weekends. At approximately 2:00 PM on 08/21/24 the facility's Administrator stated they have an agreement with the hospital and if the on-call is not available then the emergency room RN will come up to the unit.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and staff interview, the facility failed to protect residents from possible hazards, by leaving five (5) medicine cups of Triamcinolone acetonide cream 0.1% at the bedside. This was a random opportunity for discovery and had the potential to affect a limited number of residents residing in the facility. Resident identifier: #13. Facility census: 31. Findings included: a) Resident #13 On 08/19/24 at 3:43 PM during an interview with Resident #13, this surveyor observed five (5) small medication cups on Resident #13's bedside table with white creamy substance in it. On 08/19/24 at 12:59 PM the Assistant Director of Nursing (ADON) stated, It is Triamcinolone acetonide Cream 0.1% for Resident #13's face. During an interview on 08/20/24 at 10:06 AM the Director of Nursing (DON) stated that they do not have an order for Resident #13 to self administer the medication or have it by the bedside.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in WV